FNP 652 Midterm 2026/2027 Exam verified with correct answers with rationales
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1. A Family Nurse Practitioner begins a patient visit by collecting subjective
information. Which component is included?
A. Laboratory results
B. Patient-reported symptoms and concerns
C. Imaging findings
D. Physical examination findings
Correct Answer: B
Rationale:
Subjective data are information provided directly by the patient, including symptoms, feelings,
concerns, and health history.
2. Which part of the SOAP note contains the provider’s interpretation of patient
problems?
A. Subjective
B. Objective
C. Assessment
D. Plan
Correct Answer: C
Rationale:
The Assessment section includes the provider’s clinical judgment, diagnoses, and differential
diagnoses based on subjective and objective findings.
3. A patient presents with cough, fever, and shortness of breath. The FNP first
considers several possible diagnoses. This process is called:
A. Clinical reasoning
B. Delegation
C. Documentation
D. Medication reconciliation
Correct Answer: A
,Rationale:
Clinical reasoning involves analyzing patient information, developing differential diagnoses, and
selecting appropriate management.
4. Which question is considered part of the social history assessment?
A. "Have you had surgery before?"
B. "What medications do you take?"
C. "Do you use tobacco, alcohol, or recreational drugs?"
D. "When was your last vaccination?"
Correct Answer: C
Rationale:
Social history includes lifestyle factors such as tobacco, alcohol, occupation, living situation, and
substance use.
5. The primary purpose of preventive care in primary practice is to:
A. Detect and prevent disease early
B. Treat only emergencies
C. Avoid patient education
D. Replace diagnosis
Correct Answer: A
Rationale:
Preventive care focuses on health promotion, risk reduction, screening, and early detection.
6. A 45-year-old patient asks about routine health screening. The FNP should
emphasize that screening recommendations are based on:
A. Age, risk factors, and evidence-based guidelines
B. Patient preference only
C. Provider convenience
D. Hospital policy only
Correct Answer: A
,Rationale:
Screening decisions consider age, sex, family history, risk factors, and current evidence.
7. Which finding is considered objective data?
A. "I feel tired."
B. "My pain is severe."
C. Blood pressure of 150/90 mmHg
D. "I feel anxious."
Correct Answer: C
Rationale:
Objective data are measurable findings obtained through examination, vital signs, and diagnostic
testing.
8. During a physical examination, the correct sequence for most body systems is:
A. Inspection, palpation, percussion, auscultation
B. Palpation, inspection, auscultation, percussion
C. Auscultation, inspection, palpation, percussion
D. Percussion, palpation, inspection, auscultation
Correct Answer: A
Rationale:
The general assessment sequence is:
1. Inspection
2. Palpation
3. Percussion
4. Auscultation
(Abdominal assessment is the exception: inspection, auscultation, percussion, palpation.)
9. Which communication technique improves patient-provider relationships?
A. Interrupting frequently
B. Using open-ended questions
, C. Avoiding eye contact
D. Giving orders only
Correct Answer: B
Rationale:
Open-ended questions encourage patients to share information and improve diagnostic accuracy.
10. A patient says, "I know I should stop smoking, but I am not ready." This
indicates the patient is in which stage of change?
A. Maintenance
B. Preparation
C. Precontemplation
D. Contemplation
Correct Answer: D
Rationale:
The contemplation stage occurs when patients recognize a problem but are uncertain about
making a change.
11. Which factor is essential when developing a patient-centered treatment plan?
A. Patient values and preferences
B. Provider preference only
C. Cost only
D. Routine treatment for everyone
Correct Answer: A
Rationale:
Patient-centered care incorporates patient goals, beliefs, culture, and preferences.
12. Evidence-based practice combines:
A. Research evidence, clinical expertise, and patient preferences
B. Personal opinion only
C. Tradition only
D. Patient requests only
/instant pdf
1. A Family Nurse Practitioner begins a patient visit by collecting subjective
information. Which component is included?
A. Laboratory results
B. Patient-reported symptoms and concerns
C. Imaging findings
D. Physical examination findings
Correct Answer: B
Rationale:
Subjective data are information provided directly by the patient, including symptoms, feelings,
concerns, and health history.
2. Which part of the SOAP note contains the provider’s interpretation of patient
problems?
A. Subjective
B. Objective
C. Assessment
D. Plan
Correct Answer: C
Rationale:
The Assessment section includes the provider’s clinical judgment, diagnoses, and differential
diagnoses based on subjective and objective findings.
3. A patient presents with cough, fever, and shortness of breath. The FNP first
considers several possible diagnoses. This process is called:
A. Clinical reasoning
B. Delegation
C. Documentation
D. Medication reconciliation
Correct Answer: A
,Rationale:
Clinical reasoning involves analyzing patient information, developing differential diagnoses, and
selecting appropriate management.
4. Which question is considered part of the social history assessment?
A. "Have you had surgery before?"
B. "What medications do you take?"
C. "Do you use tobacco, alcohol, or recreational drugs?"
D. "When was your last vaccination?"
Correct Answer: C
Rationale:
Social history includes lifestyle factors such as tobacco, alcohol, occupation, living situation, and
substance use.
5. The primary purpose of preventive care in primary practice is to:
A. Detect and prevent disease early
B. Treat only emergencies
C. Avoid patient education
D. Replace diagnosis
Correct Answer: A
Rationale:
Preventive care focuses on health promotion, risk reduction, screening, and early detection.
6. A 45-year-old patient asks about routine health screening. The FNP should
emphasize that screening recommendations are based on:
A. Age, risk factors, and evidence-based guidelines
B. Patient preference only
C. Provider convenience
D. Hospital policy only
Correct Answer: A
,Rationale:
Screening decisions consider age, sex, family history, risk factors, and current evidence.
7. Which finding is considered objective data?
A. "I feel tired."
B. "My pain is severe."
C. Blood pressure of 150/90 mmHg
D. "I feel anxious."
Correct Answer: C
Rationale:
Objective data are measurable findings obtained through examination, vital signs, and diagnostic
testing.
8. During a physical examination, the correct sequence for most body systems is:
A. Inspection, palpation, percussion, auscultation
B. Palpation, inspection, auscultation, percussion
C. Auscultation, inspection, palpation, percussion
D. Percussion, palpation, inspection, auscultation
Correct Answer: A
Rationale:
The general assessment sequence is:
1. Inspection
2. Palpation
3. Percussion
4. Auscultation
(Abdominal assessment is the exception: inspection, auscultation, percussion, palpation.)
9. Which communication technique improves patient-provider relationships?
A. Interrupting frequently
B. Using open-ended questions
, C. Avoiding eye contact
D. Giving orders only
Correct Answer: B
Rationale:
Open-ended questions encourage patients to share information and improve diagnostic accuracy.
10. A patient says, "I know I should stop smoking, but I am not ready." This
indicates the patient is in which stage of change?
A. Maintenance
B. Preparation
C. Precontemplation
D. Contemplation
Correct Answer: D
Rationale:
The contemplation stage occurs when patients recognize a problem but are uncertain about
making a change.
11. Which factor is essential when developing a patient-centered treatment plan?
A. Patient values and preferences
B. Provider preference only
C. Cost only
D. Routine treatment for everyone
Correct Answer: A
Rationale:
Patient-centered care incorporates patient goals, beliefs, culture, and preferences.
12. Evidence-based practice combines:
A. Research evidence, clinical expertise, and patient preferences
B. Personal opinion only
C. Tradition only
D. Patient requests only
